0000731012-24-000090.txt : 20240529
0000731012-24-000090.hdr.sgml : 20240529
20240529172029
ACCESSION NUMBER: 0000731012-24-000090
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240528
FILED AS OF DATE: 20240529
DATE AS OF CHANGE: 20240529
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: FROME ROBERT L
CENTRAL INDEX KEY: 0000946426
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-12015
FILM NUMBER: 24999706
MAIL ADDRESS:
STREET 1: 3220 TILLMAN DRIVE SUITE 300
CITY: BENSALEM
STATE: PA
ZIP: 19020
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HEALTHCARE SERVICES GROUP INC
CENTRAL INDEX KEY: 0000731012
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-NURSING & PERSONAL CARE FACILITIES [8050]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 232018365
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3220 TILLMAN DRIVE
STREET 2: SUITE 300
CITY: BENSALEM
STATE: PA
ZIP: 19020
BUSINESS PHONE: 2159381661
MAIL ADDRESS:
STREET 1: 3220 TILLMAN DRIVE
STREET 2: SUITE 300
CITY: BENSALEM
STATE: PA
ZIP: 19020
4
1
wk-form4_1717017621.xml
FORM 4
X0508
4
2024-05-28
0
0000731012
HEALTHCARE SERVICES GROUP INC
HCSG
0000946426
FROME ROBERT L
3220 TILLMAN DRIVE
SUITE 300
BENSALEM
PA
19020
1
0
0
0
0
Common Stock
2024-05-28
4
A
0
3728
10.73
A
26140
D
Represents a grant of unvested deferred stock units ("DSU") which will become fully vested on the one year anniversary of the grant date. Such DSUs will be settled in shares of common stock on the first to occur of (i) five-year anniversary of the Date of Grant, (ii) the Participant's date of death, disability or separation from service; or (iii) the date of a Change of Control (the "Settlement Date"). A Participant may elect a further deferral beyond the Settlement Date pursuant to the rules of Code Section 409A.
Amount represents 6,563 unvested DSUs, 4,669 vested DSUs, and 14,908 shares of common stock.
/s/ Michael Harrity, by Power of Attorney
2024-05-29